ENPC Ultimate Exam Review 2026 | Complete Review |
Graded A+
1. If a 6-year-old child weighing 20 kg requires epinephrine during resuscitation,
how much epinephrine should be administered intravenously?
0.5 mg
0.4 mg
0.1 mg
0.2 mg
2. Which medication should the nurse question for a 12-year-old patient
undergoing surgery for acute appendicitis?
Ketorolac
Acetaminophen
Ibuprofen
Morphine
3. A laceration on a toddler's arm is prepared for suturing. Which of the
following preparations for topical anesthesia would be the best choice for
this procedure?
Tetracaine 4%
LET (lidocaine/epinephrine/tetracaine)
LMX (lidocaine 4%)
EMLA (lidocaine 2.5% and prilocaine 2.5%)
4. In a scenario where a child has regained circulation but is still unresponsive,
what should be done next to ensure their safety?
, Administering medications immediately
Monitoring vital signs only
Establishing a secure airway
Performing CPR again
5. An infant presents to the emergency department with difficulty breathing.
The patient is pale and respirations appear rapid and shallow. Which location
on the torso is the most effective site for assessing bilateral breath sounds?
Bilateral posterior back
Over the epigastrium
Bilateral anterior chest
Bilateral midaxillary
6. Why is establishing a secure airway considered the priority intervention after
return of spontaneous circulation?
Performing CPR is still necessary even after circulation returns.
Establishing a secure airway ensures that the child can breathe
adequately and prevents respiratory failure.
Administering medications is more critical for immediate recovery.
Monitoring vital signs is sufficient to ensure the child's safety.
7. A 2-year-old child was brought in by her mother on account of a 2-day
history of profuse watery diarrhea, vomiting, anorexia, and lethargy. On
examination, the child appears lethargic with very sunken eyes, dry buccal
mucosa, decreased skin turgor, drinks water poorly when given, capillary
refill: 3s, pulse rate: 152/min. What is the first step you would take in the
management of this patient?
, Intravenous rehydration
Stool culture
Empirical antibiotics
Oral rehydration
8. Describe why bilateral chest wall rise is a critical indicator of effective
intervention in a child with tension pneumothorax.
Bilateral chest wall rise means the child is stable and does not require
further intervention.
Bilateral chest wall rise suggests that the child is experiencing pain.
Bilateral chest wall rise indicates that air is entering both lungs,
improving ventilation and oxygenation.
Bilateral chest wall rise indicates the presence of fluid in the lungs.
9. What is the primary concern for a nurse when a minor presents with vaginal
bleeding in the ED?
Documenting the boyfriend's responses
Involving the boyfriend in all discussions
Immediate medical intervention
Patient confidentiality and autonomy
10. Describe why a blood sample is important for evaluating complications in a
child with an electrical injury.
A blood sample is used to check for infections unrelated to the injury.
A blood sample is primarily used to assess hydration levels in the
child.
, A blood sample provides information about the child's genetic
predisposition to injuries.
A blood sample can reveal electrolyte imbalances and organ
function, indicating potential complications from the injury.
11. If a nurse identifies a rash and fever in an infant during triage, what action
should be taken regarding isolation?
Discharge the infant with instructions for home care.
Place the infant in isolation to prevent potential infection spread.
Refer the infant to a specialist immediately.
Administer medication and monitor without isolation.
12. If a 10-year-old presents with a severe headache after a fall, which symptom
would most likely suggest a secondary headache rather than a primary
headache?
Pulsating pain
Nausea and vomiting
Bilateral headache
Headache after trauma
13. The nurse caring for a 2-year-old who presented to an urgent care center
with stridor and excessive drooling knows that which of the following
interventions should be given top priority?
Place an IV in preparation for giving IV antibiotics
Keep the child calm until emergency airway equipment is available
Assess the throat for signs of a cherry red epiglottis
Place the child on 2L via NC and prepare for intubation
Graded A+
1. If a 6-year-old child weighing 20 kg requires epinephrine during resuscitation,
how much epinephrine should be administered intravenously?
0.5 mg
0.4 mg
0.1 mg
0.2 mg
2. Which medication should the nurse question for a 12-year-old patient
undergoing surgery for acute appendicitis?
Ketorolac
Acetaminophen
Ibuprofen
Morphine
3. A laceration on a toddler's arm is prepared for suturing. Which of the
following preparations for topical anesthesia would be the best choice for
this procedure?
Tetracaine 4%
LET (lidocaine/epinephrine/tetracaine)
LMX (lidocaine 4%)
EMLA (lidocaine 2.5% and prilocaine 2.5%)
4. In a scenario where a child has regained circulation but is still unresponsive,
what should be done next to ensure their safety?
, Administering medications immediately
Monitoring vital signs only
Establishing a secure airway
Performing CPR again
5. An infant presents to the emergency department with difficulty breathing.
The patient is pale and respirations appear rapid and shallow. Which location
on the torso is the most effective site for assessing bilateral breath sounds?
Bilateral posterior back
Over the epigastrium
Bilateral anterior chest
Bilateral midaxillary
6. Why is establishing a secure airway considered the priority intervention after
return of spontaneous circulation?
Performing CPR is still necessary even after circulation returns.
Establishing a secure airway ensures that the child can breathe
adequately and prevents respiratory failure.
Administering medications is more critical for immediate recovery.
Monitoring vital signs is sufficient to ensure the child's safety.
7. A 2-year-old child was brought in by her mother on account of a 2-day
history of profuse watery diarrhea, vomiting, anorexia, and lethargy. On
examination, the child appears lethargic with very sunken eyes, dry buccal
mucosa, decreased skin turgor, drinks water poorly when given, capillary
refill: 3s, pulse rate: 152/min. What is the first step you would take in the
management of this patient?
, Intravenous rehydration
Stool culture
Empirical antibiotics
Oral rehydration
8. Describe why bilateral chest wall rise is a critical indicator of effective
intervention in a child with tension pneumothorax.
Bilateral chest wall rise means the child is stable and does not require
further intervention.
Bilateral chest wall rise suggests that the child is experiencing pain.
Bilateral chest wall rise indicates that air is entering both lungs,
improving ventilation and oxygenation.
Bilateral chest wall rise indicates the presence of fluid in the lungs.
9. What is the primary concern for a nurse when a minor presents with vaginal
bleeding in the ED?
Documenting the boyfriend's responses
Involving the boyfriend in all discussions
Immediate medical intervention
Patient confidentiality and autonomy
10. Describe why a blood sample is important for evaluating complications in a
child with an electrical injury.
A blood sample is used to check for infections unrelated to the injury.
A blood sample is primarily used to assess hydration levels in the
child.
, A blood sample provides information about the child's genetic
predisposition to injuries.
A blood sample can reveal electrolyte imbalances and organ
function, indicating potential complications from the injury.
11. If a nurse identifies a rash and fever in an infant during triage, what action
should be taken regarding isolation?
Discharge the infant with instructions for home care.
Place the infant in isolation to prevent potential infection spread.
Refer the infant to a specialist immediately.
Administer medication and monitor without isolation.
12. If a 10-year-old presents with a severe headache after a fall, which symptom
would most likely suggest a secondary headache rather than a primary
headache?
Pulsating pain
Nausea and vomiting
Bilateral headache
Headache after trauma
13. The nurse caring for a 2-year-old who presented to an urgent care center
with stridor and excessive drooling knows that which of the following
interventions should be given top priority?
Place an IV in preparation for giving IV antibiotics
Keep the child calm until emergency airway equipment is available
Assess the throat for signs of a cherry red epiglottis
Place the child on 2L via NC and prepare for intubation
